HomeMy WebLinkAbout041-420-034A. P. A.1-42-
Roy Suman � .
app. 4 mi. off w� Clar" Rd. app. 400
no. of Clear Cr Cemetery ����j -
Permit 838-71B (new sin (q
04.1=420-034 03-3163
BAILEY, MARY 1
3807 WEST BRANCH LN, OROVILLE
REROOF/SF '
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Laliforhia 95965 • Telephone (530) 538-75, MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 3-��P !)
ASSES SORPARCELNUMBER
041-420-034 I
ZONING
BUILDING PERMIT
OWNER
r
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MMUNG ADDRESS
Q F9-5,96-5
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Flin Fee
$ 20.00
Permit Fee
$ nn
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
_on
$
BUILDING ADDRESS 1807 WEST BRANM LN 0RD41IR
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF XK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other R
Describe Work: p>♦ RQDF' ]^O,gn r�Mp
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
R LES
600VMain Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
La for the following reason:
- I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ZODA TO lOooA
46.00
NEW CONST. DW
.NG OCCUP.
OR ADDNS. ( a ACC. S.
SO
3.5g!
NOµpESlp MULTI.OUTLET
97,50
P.0 APPARATus
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FD(TUREs
204 1'00
SAL o .50
Ex. Occu . oFluri�rs ASID°Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
EEPERMIT
FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
,t�
Date J� ()� � Q 3
6nature of App . ant -[ Owner Contractor ❑ Agent
An OSHA permi quirefor excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
L F
TOTAL FEE $ Q nn
NAZ.
D. FEESIMP
CDF
pggCEL
pp
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees ha
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PERMIT EXPIRES ONHITE-D.D.S.-B.
the applicable provisions
Resolutions to do work
a been paid.
Date
Dale
rReceiptNo.
. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner.
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit' will be issued until this
verification is received.
QI personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES )1� NO O
I HAVE0 HAVE NOT 13 signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER: L
DATE:
NOTE. This Owner Builder Verifwation is required by Section 19831 and 19832 of the
California Health and Safety Coda This verifuadon must be completed and
returned to our o,'Twe before we are permitted to issue the permit.
� i •
OWNER BTJII.DER INFORMATION
Dear Property Owner.
An application for a building permit has been submitted in your mime listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record. on such
a permit Building permits are not required to lie signed by property owners unless they are personally performing their
own work If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (mchrding materials
and other costs) is 1300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors; then you may be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
wodcers compensation insurance, disability insurance costs, acid unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific infom ation about your obligations under Federal Law, contract the Internal Rove= Service (and,
ifyou wish, the U.S. Small Business Adminisfration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Inf=ation about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
yp
IVf�c 1 C. Vidim C B.O.
er, Building Inspection
NOTE: ?Isis Owner-BuilderWorrnadon is required by Section 19930 of the California Health and Safety Code
{ PERMIT NUMBER - B 838-71
P 796-71
4
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PERMIT EXPIRES �4 `wZ
'OWNER Roy E. Suman
.`iCONTR: owner
LOCATION (A. P. 41-42-34 )
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app. 4 mi. off w/s Clark fid. app. 400 ft.
h' no. of Clear Creek Cemetery Rd.
/ 9—.7_3
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Zoning
Foundation
Rgh. Plumbing
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Rein. Steel
Framing
Wtr. Htr.
Firewall
ELECTRIC
Temporary
Final
DATE
/d - 7/
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Setbackf�� /
Piers & Girders 41 :/e-- 71--1941
Bond Beam �•a"
Gas Piping & Test
Plmg. Topout 2 /
Furnace
Garage Vents
GAS
Temporary
Final
Forms
F'r ce' '
ath & PI ste �6IL
Found. Vents
Rough Elec.
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final
REMARKS OR CORRECTIONS
41�
9-13-714Z�
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PERMIT NUMBER- B 838-71
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P 796-71
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PERMIT EXPIRES
'ot N R Roy E. Suman
.',CONTR: owner
'LOCATION (A. P:41-42-34
mi. off wls Clark did. app.. 400 ft.
app.. .. 4
no. of Clear Creek Cemetery Rd.
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Zoning
Foundation
Rgh. Plumbing
Rein. Steel
Framing ��� —
Wtr. Htr.�
Firewall
ELECTRIC
Temporary
Final
C.O,UNTY OF BUTTE
Department of .Public Works
BUILDING INSPECTION RECORD
Setback
Piers & Girders ? +�--
Bond Beam
Gas Piping & Test
Plmg. Topout—
Furnace
Garage Vents
GAS
Temporary
Final
Forms i
Fr lace
atL h & Plyste
Found. Vents
Rough Elec...
Kitchen Vent i
Sanitation & Water
BUILDING
Cert. of Occup.
Final
DATE REMARKS OR CORRECTIONS
(?43-7�IAZk
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6� -7-72
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_ July 219 1971
Roy E. Suman RE: Building Permit Application
1612 Sylvan Way. #838-71B
Paradise,'California 95969
Dear Sir:
With reference to the above subject and your application for a new home off Clark Road,
before this office can issue the required permit, we need the following:
1. Verification of 60 ft. right of way.
2. Complete roof construction details in duplicate.
3. Engineer design on 33 ft. span trusses.
l,. Clearance from Health Department..
As soon as we receive this information, we shall process for the necessary permits.
Should you have any questions, please contact us.
1
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
JFG:dd Assistant Director
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BUTTE COUNly
Director
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Permits
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DATE.---------------------/I-3----TIME----`_-!5___--.
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PHONE
-----------------------------PHONE NO .-----------�7`---------------------------------------�– -----
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Called to See You - - ❑ Will Call Again - ❑
MESSA
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COUNTY OF.BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
PHONE: 533-1230, Ext. 259
L 'A-PPL.ICATION AND ELECTRICAL PERMIT
Permittee Owner if f. t A. P. No. .
Mailing Address -r
Contractor
Mailing Address
BLDG. Address
DESCRIPTION OF WORK
No.
Fee
$2.00
PERMIT FILING FEE
NEW F-1, ADDITION Q METER SERVICE
Supplementary Filing Fee
1.00
Main Service
OTHERS:
(12 or (morethan
Sub -panel less) 12) -
Each �
�_ -
Dryer or Water Heater
r
Each L00
Remarks:Range,
Oven, Cook -Top or Space Heater
Each :.50
,
Light Fixtures
(I.
.7
First 2D .20
Each Additional 10
USE OF STRUCTURE
—, -1 !
Receptacles., Switches & Fixture Outlets
'
First 20 .20
Each Additional .10
Hood, Exhaust Fan or F.A. Furn. Motor
Each .50
Single Multi
Family F-1 Duplex O Dwelling F
Evan. Cooler. Gar. DisD. or Dishwasher
Each .50
OTHERS:
Misc.
Remarks:
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name
styleof.............................................................................._......................................................................................................._.................................................__ ,
License No. ******* ............... , Classification,,,,,,,,,,,,,,, , and certify that the aforesaid license is in full force and effect.
B. OWNER-BUILDR 8. OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).
0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, for other statutory exemption....................................................................................................._.._...._............._ ........_._ »._. ..
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection purposes.
DIRECTOR OF PUBLIC WORKS
X.......... .............. .................... ...... .......... Date ......
SIGNATURE OF PERMITTEE OR AGENT
By.......................................................................... Dote ....................... .... _....
ReceiptNo.....................................................................
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
County Center Drive, Oroville, California 95965 PHONE: 916-534-4541
DATE
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With reference to the above subject:` '`'" t��� ✓��
Attached. is:
Application for -permit Typical Plan Sheet
Building Plans Mobile Home Sheet
Engr. Calcs. List of Codes Enforced
01
OTHER
We need the following information: _
Permit application signed and completed where indicated with all copies returned.
Fees of $ to, c/ JZ3'—'- S^r�,���a,�l'`•C��.r..,��.�
Certificate of Workmen's Compensation Insurance.
Contractors License Law information.
Letter authorizing signature of
Complete plans, in duplicate, including plot & floor plans and complete structural
details.
Plot plans in duplicate.
Structural details in duplicate.
Complete plans, in duplicate, prepared by registered civil engineer or architect.
Engr, calcs.
Two (2) sets of plans in accordance with changes marked in red.
Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico.
Planning approval, i.e., use permit, variance, rezoning,
Planning Dept., 7 County Center Dr., Oroville.
Improvement Plans.
Parcel declaration recording data.
Verification of access or right of way by deed.
Verification of.legally created parcel by deed.
Deed for right of way.
Parcel map recorded.
A �
2430 Bird St., Oroville.
Skyway & Elliott Rd.,ParadisE
etc., from Butte County
PWR
As soon as we receive the above data, we will process your application, or, should you have
any questions concerning the above, please contact this office.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
JFG:dd Assistant Director
Si /s/� ,.moi► Jr�
M
COUNTY OF BUTTE [[
DEPARTMENT OF PUBLIC WORKS 1
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUIL D I N 0 P E R M I T
n I
Permittee Owner A. P. No. -
Mailing Address 1 • �- .. , - Fire Zone Zoning
Contractor Sanitation Plannin
Mailing Address Plans Fees W. C.
BLDG. Address R W Encroachment
NEW ADDITION REPAIRS OTHER F 0'U N D A T1 0 N
MATERIAL EXTERIOR - PIERS
Others
Single Multi Width at Top
USE OF STRUCTURE Family 0 Duplex Q Dwelling
Others Width at Bottom
Depth in Ground
SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN
Girders
joists - 1st Floor
Joists- 2nd Floor
Fireplace r
Joists -Ceiling
Total Valuation ] '�', - — Exterior Stdds
Permit Fee Interior Studs w
Plan Checking Fee &/or Penalty Roof Rafters
Total Permit Fee Bearing Walls
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name
style of..............................................................................................................................................................................................:................................................. .
License No . ........................... Classification,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors,
(Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
Basis, if any, for other statutory exemption..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply to all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes.
X.............................................................................. Date ................................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No.
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
BY................................................................................ Date ................................
Permit Expires Date,,,,,,,,,,,,,,,,,
� Cr-��7 t om: Y� ,,,� ��
Uva-�P�..� w!� � �1�in,.;��, Amo g
�� �l�oN<��� �.
fie'! °. "mow ,P � � ��
i// v� ��,Cr��
NEW F5�Zj ADDITION [D REPAIRS 0
OTHERS:
Remarks:
USE OF` -STRUCTURE
Single Multi
RESIDENTIAL Family Duplex Dwelling .�
OTHERS:
Remarks:
PERMIT .FILING FEE
COUNTY OF $UTTE
Each fixture or trap or set of
fixtures on one trap
-
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DEPARTMENT OF PUBLIC WORKS
*�
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Repair or alteration drainage
or vent piping
7 County Center Drive - Oroville, California 95965
Installation or repair
water piping
Phone: 533-1230, Ext. 259
_
-
Each gas water heater or
gas heater vent
APPLICATION AND PLUMBING PERMIT
Gas piping system 1 - 5 outlets
1.50
Permittee Owner
.30
A. P. No.I a r'
Mailing Address
/ f /
2 y I l •1 i :Lir
_4
Contractor
2.00
Mailing Address
BLDG. Address
4
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/'� n ! '�i �: i 1 ✓ ,- — 1� r�.� /r i-�r /�c-i - .: -.
J i./
DESCRIPTION OF WORK
No.
@
Fee
NEW F5�Zj ADDITION [D REPAIRS 0
OTHERS:
Remarks:
USE OF` -STRUCTURE
Single Multi
RESIDENTIAL Family Duplex Dwelling .�
OTHERS:
Remarks:
PERMIT .FILING FEE
12.00
Each fixture or trap or set of
fixtures on one trap
-
r]
1.50
*�
r•
Repair or alteration drainage
or vent piping
1.50
Installation or repair
water piping
1.50
_
-
Each gas water heater or
gas heater vent
1.50
Gas piping system 1 - 5 outlets
1.50
Gas piping 6 or more - Each
.30
House Sewer
5.00
Lawn Sprinkler system
2.00
TOTAL FEE 1 $
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under.the name
styleof ................................................................................................................................................................................................................................................ r
License No. Classification ............................................... and certify that the aforesaid license is is full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check o ---ie):
Q I am the owner of the above property and I will contract to have all of the above work performed bir licensed contractors.
(Sec. 7044),
0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, for other statutory exemption......................................................................................................................._........................................I
............................._..................... .....................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
1 certify that I have read this application and state that the
above information is correct. I agree to comply with all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above mentioned property for inspection
purposes.
Date
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo........................... .........................................
This PLUMBING PERMIT is hereby _slued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date ..............................
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